1982, 02-11 Permit: 82A-983 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT � - � '�
ezi NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. ,gi m E n 7j' LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 9 0 0
LOT BLOCK SUBDIVISION -g
PARCEL NUMBER/S'' * 1 +, 0 U)
2.
OWNER PHONE * 1 9, O O 6
3. ct 6,. ....5-re-)4,,,,4-4-6/ 53 4f- 73
E
ADDRESV ZIP Actual Set Backs in Feet
.. GCpY' . /y TIL
7'Sv� '' Ci �', 2
North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 —8 L
AL�i/ elk4 /. �y f%ry f c�/c ti 9'42 8l?/6'c.'
4' ADDRESS ZIP Type Const. Occupancy Sprinklered 6 4 7 9
- /0/ 7/C7 /..✓,4`ct t-C' � '', /'' ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. 1:1POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist. I Location (Area) '
8. /2' fitFug 7- >� 4'/ , //4 tk�,.)1- FEES COLLECTED
S 7/ tj / v Ct ( p` L/iY I
VALUATION SOU E GAS ELECTRIC WATER SEWER Ownership USE CODE
O
9. UTILITIES Public 0 Private 0
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this -
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
-
DATE OF APPLICATION 57— SIGNATURE OF APPLICANT �/t '� V Mech. /a Lit,
SPECIAL APPROVALS SPECIAL CONDITIONS: / ,G-g' ry 9'`L'L,
NAME DATE : {.
Env. Health .StG"�''� Fir c" / , .e.. 'eV" Plan eck*
Planning `% SEPA
O
C.)
—
Fire Marshall Mobile Home —.J
LT.
Co. Engineer Other (Specify)
Utilities
TOTAL $ / ..&/-7,1
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building
yTechnician PERMIT IS NONTRANSFERABLE O.2 `...j1��.-8' ` 9 $,3 z * 1 9, �.°a IJ- -
ee.. f` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL